More questions on this topic
More questions on this topic ( 15 Questions)
Which of the following patients is at highest risk for umbilical cord prolapse?
A cephalic presentation and intact membranes are not risk factors for umbilical cord prolapse.
Although twins and ruptured membranes are risk factors for umbilical cord prolapse, the risk is lower than in choice D
Although a transverse lie is a risk factor for umbilical cord prolapse, the risk is lower than in choice D if the membranes are intact.
Breech presentation and ruptured membranes are both risk factors for umbilical cord prolapse, which is where the umbilical cord descends through the cervix and is alongside or below the presenting part of the fetus. This can cause fetal hypoxia and distress
The correct answer is choice D. A patient who is 34 weeks pregnant with a breech presentation and ruptured membranes. This is because breech presentation and ruptured membranes are both risk factors for umbilical cord prolapse, which is where the umbilical cord descends through the cervix and is alongside or below the presenting part of the fetus. This can cause fetal hypoxia and distress.
Choice A is wrong because a cephalic presentation and intact membranes are not risk factors for umbilical cord prolapse.
Choice B is wrong because although twins and ruptured membranes are risk factors for umbilical cord prolapse, the risk is lower than in choice D. Choice C is wrong because although a transverse lie is a risk factor for umbilical cord prolapse, the risk is lower than in choice D if the membranes are intact.